Bradley R Prestidge MD PA

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

H8803 Issued in TX

Legal business name

BRADLEY R PRESTIDGE MD PA

Practice address

9102 Floyd Curl Dr
Suite 1
San Antonio, TX 78240-1553

Phone

(210) 247-0888

Fax

(210) 558-0758

NPI assigned

Nov 12, 2009

Organization subpart

No

Name

Dr. Bradley R Prestidge, MD

Title

Medical Director

Phone

(210) 247-0888

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 12, 2009.

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1366779233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9102 FLOYD CURL DR",
            "address_2": "SUITE 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401553",
            "telephone_number": "210-247-0888",
            "fax_number": "210-558-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9102 FLOYD CURL DR",
            "address_2": "SUITE 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401553",
            "telephone_number": "210-247-0888",
            "fax_number": "210-558-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY R PRESTIDGE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "PRESTIDGE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "210-247-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "H8803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred Gwinn Bradford Jr., DDS
• Christina Bradford, BCBA
• Kathleen Marie Bradford
• Katlynn Bradford
• Lauren Elizabeth Brading, PNP
• Hannah Olivia Bradley
• Lashlee Anne Bradley, RBT
• Laurie L Bradley, DDS
• Nathaniel David Bradley, MD
• Sandra Kay Bradley, RNC, BSN, NNP

• All providers in San Antonio, TX
• Radiation Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.